MRS. ASHLEY RENEE LONG – Family Nurse Practitioner, NPI 1699204966

MRS. ASHLEY RENEE LONG is a healthcare provider. based in Jacksonville, Florida. specializing in NURSE PRACTITIONER. They hold a License No. APRN9358703 (FL). The NPI Number for MRS. ASHLEY RENEE LONG is 1699204966

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ASHLEY RENEE LONG
NPI
1699204966
Phone
(904) 874-8520
Address
11580 YOUNG RD
Enumeration Date
8 June 2017
Last Update Date
12 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9046488090
Graduation Year
2016 (10 years ago)
PAC ID
8224301213
Group Practice PAC ID
9830244433
Professional Enrollment ID
I20170913003938
Address ID
FL322186983JA2377XAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:9State licenses:3Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for MRS. ASHLEY RENEE LONG

  • 11580, Young Road, Jacksonville, Duval County, Florida, 32218, United States

    JACKSONVILLE, FL 322187505

    Phone: (904) 874-8520

    Type: Mailing

  • 2383 THIRD ST

    FOLKSTON, GA 315378917

    Phone: (904) 383-1377

    Type: Location

  • 2675 WINKLER AVE FL 2

    FORT MYERS, FL 339019342

    Phone: (877) 856-3774

    Type: Mailing

  • 2377 DUNN AVE

    JACKSONVILLE, FL 322186983

    Phone: (904) 648-8090

    Fax: (904) 648-8089

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 85 Open Payments records for all available years, with a total value of $1,983.

Total Amount is formed as General ($1,983) + Research ($0) + Ownership ($0) = $1,983.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Novo Nordisk Inc ($585).

Total Amount

$1,983

General + Research + Ownership

Payments

85

Total payment records

General Amount

$1,983

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-07-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170913003938INurse PractitionerFLTBD
I20180710003012INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample3326$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count2219$0
80053Blood test, comprehensive group of blood chemicals1816$0
View full utilization report →

Insurance plans in this area (ZIP 32218)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830244433View full group profile
NameSpecialtyState
Family PracticeFL
Nurse PractitionerFL
Family PracticeFL
-FL
-FL
-FL
-FL
Nurse PractitionerFL
-FL
Cardiovascular Disease (Cardiology), Internal MedicineFL

Reviews

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Frequently asked questions

What is MRS. ASHLEY RENEE LONG's NPI number?
MRS. ASHLEY RENEE LONG's NPI is 1699204966 — the number used across U.S. healthcare to identify this provider.
Would MRS. ASHLEY RENEE LONG appear as active to a payer?
You can treat MRS. ASHLEY RENEE LONG as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MRS. ASHLEY RENEE LONG?
At a glance, MRS. ASHLEY RENEE LONG is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Florida is MRS. ASHLEY RENEE LONG registered?
Use Jacksonville, Florida as the headline location for MRS. ASHLEY RENEE LONG here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.